Topics Related to All Providers
In response to provider feedback, the use of the NPI Exemption List for residents and interns enrolled in graduate dental and medical programs, and area health education centers will be extended from Jan. 31, 2018 to April 30, 2018. Note: This article was originally published as a Special Bulletin in January 2018.
This article assists providers to identify and report potential report fraud, waste, or abuse.
The Payment Error Rate Measurement (PERM) audit calculates error rates for Medicaid, Children’s Health Insurance Programs (CHIP) and Managed Care on a three-year cycle for the Centers for Medicare & Medicaid Services (CMS). The error rates are based on reviews of the fee-for-service (FFS), managed care, and eligibility components of those three programs in the fiscal year under review.
Note: NC Health Choice (NCHC) is the state’s CHIP program.
Note: NC Health Choice (NCHC) is the state’s CHIP program.
This article was updated on May 10, 2018. Topics include: list of providers due for re-credentialing, changes to re-credentialing process, and changes to ongoing verification process.
Registration is open for the March 2018 instructor-led provider training courses listed below. Slots are limited.
Providers have until April 30, 2018, to submit a complete and accurate attestation for Program Year 2017 of the NC Electronic Health Record Incentive Program.
In a recent attempt to send an email helping providers with a common error, CSRA noticed that 12.5 percent of the provider email addresses were invalid or unsubscribed. To provide providers with the accurate information they need, it is crucial that NCTracks has a valid email address that is subscribed to the NCTracks Communications email list. This is especially important for targeted emails that apply to specific providers (such as a claim reprocessing notice).
NCTracks encourages providers to:
NCTracks encourages providers to:
Effective March 1, 2018, North Carolina Medicaid has revised Clinical Policy 11C, Ventricular Assist Devices
Following a 45-day public comment period, Clinical Coverage Policy 3B, Program of All-Inclusive Care for the Elderly (PACE), was amended and posted on North Carolina Medicaid Community-Based Services Clinical Coverage Policy web page.
Effective March 1, 2018, all North Carolina Medicaid and NC Health Choice beneficiaries must be 12 years of age or older to receive chiropractic services.